Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | 036117898 | IL |
Y | 207QA0505X | Family Doctor - Adult Medicine | 036117898 | IL |
NPI | 1134398506 |
---|---|
Provider Name | Dr. Nabanita Bhowmick |
First Address | Elgin, IL 60120-3843 |
Second Address | Elgin, IL 60120-3843 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/02/2008 |
Last Update Date | 19/11/2020 |